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In a recent study ( Mol

In particular, rather than deny coverage for off-label uses altogether, CMS encourages Part D sponsors to utilize prior authorization, a form of utilization management, for those drugs with the highest likelihood of non-Part D covered uses, including a high likelihood of use for non-medically accepted indications

Proc Natl Acad Sci USA 105:90939098 [DOI] [PMC free article] [PubMed] [Google Scholar] Wayman GA, Impey S, Marks D, Saneyoshi T, Grant WF, Derkach V, Soderling TR